The document appears to be a collection of slides in Arabic and English discussing various topics related to sexual dysfunction and forensics. Some of the slides define phases of the sexual response cycle, describe diagnostic criteria for sexual disorders from the DSM-5 such as delayed ejaculation, erectile disorder, and hypoactive sexual desire disorder. Other slides discuss sexual pain disorders, substance-induced sexual dysfunctions, and define terms translating to male and female sexual defects in Arabic. The document contains medical and legal information regarding sexual functions and dysfunctions.

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SLIDESMANIA.COM
‫و‬ ‫جنسی‬ ‫عملکرد‬ ‫اختالالت‬
‫قانونی‬ ‫روانپزشکی‬
‫صدیق‬ ‫حمزه‬ ‫سید‬ ‫دکتر‬
‫روانپزشکی‬ ‫متخصص‬
‫هرمزگان‬ ‫پزشکی‬ ‫علوم‬ ‫دانشگاه‬ ‫علمی‬ ‫هیئت‬

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‫مشکالت‬ ‫اهمیت‬
‫پرونده‬ ‫در‬ ‫جنسی‬
‫قانونی‬ ‫های‬

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SEXUAL DYS FUNCTION GENDER DYSPHORIA
GENDER INCONGRUE
NCE
● Paraphilias BOOK INTRODUCTION

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‫جنسی‬ ‫عملکرد‬ ‫اختالل‬ ‫جنسیتی‬ ‫مالل‬
● ‫جنسیی‬ ‫انحراف‬
‫کتاب‬ ‫معرفی‬

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SLIDESMANIA.COM
BOOK INTRODUCTION
FORENSMEDICO-LEGAL
ASPECTS OF
SEXUAL CRIMES AND
UNUSUAL SEXUAL
PRACTICES
ANIL AGGRAWAL

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What are the phases of the sexual response cycle?
1. Desire (libido).
2. Arousal (excitement).
3. Orgasm.
4. Resolution.
● The sexual response cycle has been
described as having four phases:
● Both men and women can experience
these phases, although the timing may be
different

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The sexual response cycle is one model
of physical and emotional changes that
happens when you are participating in
sexual activity. There are four phases in
this cycle. Orgasm is the shortest phase.
Sexual Response Cycle

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Both men and women can experience these phases,
although the timing may be different.
In addition, the intensity of the response and the time spent
in each phase varies from person to person.
Many women won't go through the sexual phases in this
order.
Some of these stages may be absent during some sexual
encounters, or out of sequence in others.
This is where you section ends. Duplicate this set of slides as many times you need to go over all your sections.

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‫میل‬
DESIRE
‫مراحل‬
‫ها‬‫ویژگی‬
‫اختالل‬
۱
.
‫میل‬
‫از‬
‫هر‬
‫مورد‬
‫دیگری‬
‫که‬
‫انحصارا‬
‫ب‬
‫ا‬
‫فیزیولوژی‬
‫تشخیص‬
‫داده‬
‫ش‬‫می‬
‫ود‬
‫مجزا‬
‫است‬
‫و‬
‫دهنده‬‫نشان‬
‫ها‬‫انگیزش‬
،
‫ها‬‫سائق‬
‫و‬
‫شخصیت‬
‫بیمار‬
‫است‬
.
‫با‬
‫های‬‫خیالپردازی‬
‫جنسی‬
‫و‬
‫میل‬
‫به‬
‫برقرار‬
‫کردن‬
‫روابط‬
‫جنسی‬
‫مشخص‬
‫شود‬‫می‬
.
‫اختالالت‬
‫کمبود‬
‫میل‬
،‫جنسی‬
‫اخت‬
‫الل‬
‫انزجار‬
،‫جنسی‬
‫اختالل‬
‫کمبود‬
‫می‬
‫ل‬
‫جنسی‬
‫دلیل‬‫به‬
‫یک‬
‫بیماری‬
‫طبی‬
‫عمومی‬
(
‫زن‬
‫یا‬
‫مرد‬
)
،
‫اختالل‬
‫جنسی‬
‫ناشی‬
‫از‬
‫مواد‬
‫با‬
‫اختالل‬
‫می‬
‫ل‬
‫جنسی‬

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‫ارگاسم‬
Orgasm ۳
.
‫ارگاسم‬
‫لذت‬ ‫اوج‬
‫جنسی‬
،
‫با‬
‫تنش‬ ‫شدن‬ ‫رها‬
‫جنسی‬
‫انقباض‬ ‫و‬
‫ریتمیک‬
‫های‬‫ماهیچه‬
‫ای‬‫پرینه‬
‫و‬
‫های‬‫اندام‬
‫تناسلی‬
‫لگنی‬
‫اختالل‬ ،‫زن‬ ‫در‬ ‫ارگاسمی‬ ‫اختالل‬
،‫زودرس‬ ‫انزال‬ ،‫مرد‬ ‫در‬ ‫ارگاسمی‬
‫یک‬ ‫دلیل‬‫به‬ ‫دیگر‬ ‫جنسی‬ ‫اختالل‬
‫عمومی‬ ‫طبی‬ ‫بیماری‬
(
‫مرد‬ ‫یا‬ ‫زن‬
)
،
‫همراه‬ ‫مواد‬ ‫از‬ ‫ناشی‬ ‫جنسی‬ ‫اختالل‬
‫ارگاسم‬ ‫اختالل‬ ‫با‬

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‫تحریک‬
Arousal ۲
.
‫تحریک‬
‫حس‬
‫ذهنی‬
‫لذت‬
‫ج‬
‫ن‬
‫سی‬
‫و‬
‫تغییرات‬
‫فیزیولوژیک‬
‫همراه‬
‫همه‬ ،‫آن‬
‫های‬‫پاسخ‬
‫فیزیولوژیک‬
‫که‬
‫مرحله‬ ‫در‬
‫تحریک‬
‫و‬
Plateau
‫روش‬ ‫در‬
‫مسترز‬
‫و‬
‫جانسون‬
(
Masters and
Johnson
)
‫دارد‬ ‫وجود‬
.
‫در‬
‫این‬
‫مرحله‬
‫جای‬
‫گیرد‬‫می‬
.
،‫زن‬ ‫در‬ ‫جنسی‬ ‫انگیختگی‬ ‫اختالل‬
‫مردان‬ ‫در‬ ‫نعوظ‬ ‫اختالل‬
(
‫است‬ ‫ممکن‬
‫دهد‬ ‫رخ‬ ‫هم‬ ‫چهار‬ ‫و‬ ‫سه‬ ‫مراحل‬ ‫در‬
)
،
‫یک‬ ‫دلیل‬‫به‬ ‫مردان‬ ‫در‬ ‫لنعوظ‬ ‫اختال‬
‫مقاربت‬ ،‫عمومی‬ ‫طبی‬ ‫بیماری‬
‫طبی‬ ‫بیماری‬ ‫یک‬ ‫دلیل‬‫به‬ ‫دردناک‬
‫عمومی‬
(
‫زن‬ ‫یا‬ ‫مرد‬
)
‫جنسی‬ ‫اختالل‬ ،
‫اختالل‬ ‫با‬ ‫همراه‬ ‫مواد‬ ‫از‬ ‫ناشی‬
‫انگیختگی‬

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‫فرونشینی‬
Resolution. ۴
.
‫فرونشین‬
‫ی‬
‫احساس‬
‫آرمیدگی‬
‫عمومی‬
،
‫خوشی‬
‫و‬ ،
‫آرمیدگی‬
‫ای‬‫ماهیچه‬
.
‫در‬
‫این‬
‫مرحله‬
‫به‬ ‫نسبت‬ ‫مردان‬
‫رسیدن‬
‫به‬
‫ارگاسم‬
‫د‬
‫یگر‬
‫مقاوم‬
‫هستند‬
‫که‬
‫این‬
‫زمان‬
‫با‬
‫رف‬ ‫باال‬
‫تن‬
‫سن‬
‫افزایش‬
‫یابد‬‫می‬
.
‫در‬
‫که‬‫حالی‬
‫زنا‬
‫ن‬
‫مرحله‬ ‫بدون‬
‫مقاومت‬
،
‫توانند‬‫می‬
‫چند‬
‫ارگاسم‬
‫داشته‬
‫باشند‬
.
‫پ‬ ‫سردرد‬ ،‫مقاربت‬ ‫از‬ ‫پس‬ ‫دیسفوری‬
‫س‬
‫مقاربت‬ ‫از‬
.

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Diagnostic
and
Statistical
Manual of
Mental
Disorders
DSM-5 2013

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Delayed Ejaculation
A marked difficulty or inability to achieved desired ejaculation lasting
more than 6 months during partnered sexual activities
More common in men over 50
Only 75% of men report always ejaculating during sexual activity
, >1% report problems lasting more than 6 months
Lifelong vs. acquired; generalized v. situational; mild, moderate or
severe

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Erectile Disorder
Failure to obtain or maintain erection during partnered
sexual activities
More common in men over 50
Most problems remit without professional intervention
Lifelong vs. acquired; generalized v. situational; mild,
moderate or severe

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Female Orgasmic Disorder
Delay, infrequency or absence of orgasm or reduced
intensity of orgasm sensations lasting more than 6 months
Wide estimates of prevalence: 10%-42%
10% of women do not report experience of orgasm
Lifelong vs. acquired; generalized v. situational, also never;
mild, moderate or severe

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Female Sexual Interest/Arousal Disorder
Absent/reduced interest/arousal related to sexual activities,
thoughts, encounters, cues, etc.
Becomes persistent problem for relationships
Lifelong vs. acquired; generalized v. situational; mild, moderate or
severe

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Genito-Pelvic Pain/Penetration Disorder
Difficulties with a vaginal penetration during intercourse, b pain
during intercourse, c fear or anxiety about pain or penetration, or
contraction of pelvic floor muscles during sex
lasting more than 6 months
15% of women report some pain during intercourse
Lifelong vs. acquired; mild, moderate or severe

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Sexual
Pain
Disorders
•Dyspareunia
•Vaginismus

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Male Hypoactive Sexual Desire Disorder
Persistent deficient or absent sexual thoughts, fantasies or desires
lasting more than 6 months
6% of younger 18-24 and 41% of older men 66-74 report problems with
sexual desire; persistent problem in only 1.8% of men
Lifelong vs. acquired; generalized v. situational; mild, moderate or
severe

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Premature Early Ejaculation
Persistent or recurrent pattern of ejaculation during partnered sexual
activity within 1 minute following penetration or before individual
wishes it
lasting more than 6 months
20%-30% of men report concern about ejaculation speed; 1%-3% have
persistent problem
Lifelong vs. acquired; generalized v. situational; mild, moderate or
severe

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Substance/Medication-Induced Sexual
Dysfuntion
Some common causes: a alcohol, b sedative, hypnotic, or
anxiolytic, c amphetamine or other stimulant, c cocaine
Mild 25%-50% of sexual encounters, moderate 50%-75% or
severe 75% or more

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Other Specified Sexual Dysfunction
Other Unspecified Dysfunction

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‫عیوب‬
‫مرد‬
‫عبارت‬
‫و‬ ‫خصاء‬ ‫و‬ ‫جب‬ ،‫عنن‬ ‫از‬ ‫است‬
‫عیوب‬
‫زن‬
‫عبارت‬
‫افضاء‬ ‫و‬ ‫قرن‬ ‫از‬ ‫است‬
.
‫در‬
‫به‬ ‫ادامه‬
‫بررسی‬
‫هر‬
‫یک‬
‫از‬
‫این‬
‫صورت‬ ‫به‬ ‫موارد‬
‫جداگانه‬
‫و‬
‫کامل‬
‫خواهیم‬
‫پرداخت‬
― Irene M. Pepperberg

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Several states qualify
impotence, or the inability
to engage in sexual
intercourse,
as legal grounds for
divorce, such as
Mississippi under the
Mississippi Code, § 93-5-1
and Massachusetts under
General Law,
We are
here!
And
here!
And here!

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Unfortunately …
 Soothing, sensual whispers
 Gentle touches
 Pillow talk
 Spontaneous dates
 Sharing experiences
 Hugging
 Exchanging love notes
 Romantic kissing
 Welcome surprises
 Supportive behavior
● Intimacy, unfortunately in
American society, often is
assumed to only mean penetrative
sex. Intimacy is far more than that,
and many relationships can be
rebuilt by re-learning the
many types of intimacy:

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Laumann, Paik,& Rosen 1999
estimate about 43% of women
and about 31% of men have
experienced sexual
dysfunction based on a
national survey of Americans.
This makes sexual
dysfunction the most common
psychological problem in US.

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Sexual
Dysfunction
Assessed in a
National
Survey
Laumann, Paik, &
Rosen 1999

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SLIDESMANIA.COM
This is an editable world map.
THAT STUDY
WASTHERE
And WE
ARE here!

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Some
psychological
processes that
contribute to
sexual
dysfunction
problems

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Specific techniques:
1. Increase Self-
Understanding
2. Sensate
Focus Exercises
3. Stop-Start
Technique

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Specific techniques:
4. Change
position
5.Communicati
on
6-…

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1. Increase Self-Understanding
Education re: anatomy, physiology, sexual response cycle
Instruction on how to masturbate
Homework to masturbate in private & later in partner’s
presence

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2. Sensate Focus Exercises
Both partners remove clothes
One partner “gives” while the other “receives” & gives
feedback
Initially, no “sexual” touching gradually build up to touching
genitals, orgasm & intercourse
Gradual reawakening of sexual
interest

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3. Stop-Start Technique
Manually stimulate penis until close to orgasm
Stop stimulation until calmer
Repeat
May be done by a partner or by masturbation

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Specific techniques: 4. Change
position

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5. Communication
Why is it hard to talk about sex?
People sometimes lack the specific language
Use of “I” statements instead of speaking abstractly

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Thank you!
Do you have any questions?